The National Police Commission No. 1, in active partnership with the Regional Health Service (RHS) 1 has organized a Basic Life Support Course as part of the Occupational Accident and Illness Prevention Program of the region which purports to equip participants with essential skills and knowledge on Basic Life Support and Standard First Aid. This is a three-day training course scheduled on 11, 17 and 24 of March 2021 to be conducted through lectures and simulations to be participated by sixteen (16) NAPOLCOM employees.
The first day of the training was conducted last March 11, 2021. The program formally started with an opening prayer followed by the acknowledgment of participants. Ms. Richelle Mae F. Ocampo, Administrative Assistant I, enthused a quick reminder of the house rules and the flow of the program for proper guidance of the participants.
Atty. Phillip Raymund S. Rivera, cheerfully welcomed the participants with an opening message. He accentuated that the training is truly a beneficial opportunity to acquire vital knowledge and skills on medical procedures which necessitates everyone to embrace the aftermaths of the new normal we are living now. Moreover, he stressed that the BLS course has changed significantly over the years to make it more valuable to the general population. Also, a great chance for the participants to dive deeper on the necessary concepts residing within this area of expertise to contribute in extending aid and support to the community.
Thereafter, Ms. Ocampo formally introduced PLt Jaypee A Sarmiento, personnel from the Regional Health Service 1, as the subject matter expert and trainer for the first day of the training. The lecture proper started with a brief overview of the flow of topics to be discussed for the whole day.
PLt Sarmiento presented important considerations on hypertension, the modifiable and non-modifiable factors, and its common symptoms, blood pressure and its categories and the prevention and management ways. PLt Sarmiento also taught the participants of the systolic and diastolic terms in monitoring blood pressure of an individual.
Consequently, vital concepts on diabetes was discussed including the three (3) types of diabetes namely Type 1, Type 2, Gestational diabetes and its symptoms. PLt Sarmiento also compared the differences between impaired glucose tolerance and impaired fasting glycaemia. Thereafter, he explained the common consequences of diabetes, diagnosis and treatment, simple lifestyle measures, and cost saving interventions to prevent diabetes.
He continued his lecture on Blood Pressure and Capillary Blood Glucose (CBG) Skills. The participants were able to familiarize the proper blood pressure taking and blood sugar testing. Further, PLt Sarmiento shared six (6) simple tips to get an accurate blood pressure reading to include: a) do not have a conversation; b) empty bladder first; c) support back keeping legs uncrossed; d) support feet; e) support arm at heart level; and f) put cuff on bare arm. The participants were equipped that there are also some other parts of the body where they can take our blood pressure apart from our radial such as in the brachial, popliteal, dorsalis and posterior areas. The blood pressure chart was shown for the participants to recognize the high, pre-high, ideal and low blood pressure.
As a practical application, the trainer afforded the participants some valuable time to learn and experience how to take an accurate blood pressure as well as performing the step-by-step CBG measuring through the active demonstration and assistance of PCpl Miriam D Santiago.
The afternoon session covered the lecture on the Standard First Aid. PLt Sarmiento imparted some ideas on first aid and responding to emergencies and disasters. He also presented the disaster risk reduction and management cycle. He highlighted that the goals of first aid are to prevent further injury, preserve life, alleviate suffering and promote recovery.
The responsibilities of the First Aid Provider and several legal bases that encompasses within were discussed. Afterward, PLt Sarmiento rendered a summarized version of the basic first aid responses to be done during anticipated accidents and disasters by means of scene sizing up, activating medical assistance and performing the primary and secondary assessment. Moreover, the different classifications of bleeding, causes of burns, other forms of wounds and first aid for musculoskeletal injuries were discussed thoroughly.
After the lecture on Standard First Aid, participants had a return demonstration through an actual application of bandaging, knotting and proper usage of first aid kits with the help of PCpl Santiago.
After the return demonstration, the trainer recapped the highlights of the topics discussed the whole day and delivered some final instructions to the participants. The first day of the training formally culminated at 3:40 P.M.
The second day of the Basic Life Support training was conducted last March 17, 2021. The program formally started with an opening prayer, followed by the lecture proper of PLt Jaypee A Sarmiento, personnel from the Regional Health Service1, as the subject matter expert and trainer.
PLt Sarmiento provided a recap of the previous lessons during the first day of the training. After which, he proceeded to the discussion on Respiratory Arrest and Rescue Breathing. The lesson goal and objectives were initially presented followed by the discussion of respiratory arrest and its causes, Body Substance Isolation (BSI) and primary steps in offering emergency action plan. Relatively, PLt Sarmiento boldly imparted that there is a need to check for responsiveness. Should there be no response, he emphasized to look at the chest for the rising and falling, listen for sounds of breathing and feel for breath on the cheek or pulse for not more than ten (10) seconds. If negative breathing is checked but with a positive pulse, there is a need to perform the rescue breathing with proper observance of the needed amount and duration of breaths and blows. There were also various rescue breathing techniques conveyed to the participants such as mouth-to-nose for babies and toddlers, mouth-to-mouth for adult, mouth-to-mask for adult and mouth-to-stoma which is to be done only by trained EMT or in the hospital. The recovery position was clearly demonstrated as part of the rescue process.
Thereafter, some vital concepts on choking were presented by PLt Sarmiento particularly on the universal sign of choking, different types of choking-mild airway obstruction, severe airway obstruction and abdominal thrust/Heimlich Maneuver, and its signs and necessary management to perform in case of occurrence with thoughtfulness of the patient’s age group.
To appropriately show the management on choking when a victim is an infant, PLt Sarmiento prepared an audio-visual presentation for the participants to have a clear understanding of the presented concepts.
After the audio-visual presentation, the discussion on Cardiopulmonary Resuscitation (CPR) was presented. He expounded that CPR is a combination of chest compression and rescue breaths. PLt Sarmiento provided the participants with a copy of the sequence of the CPR process and actively exhibited the steps indicated.
A return demonstration of the CPR skills and processes was done after lunch. Each participant was required to perform the CPR skills and processes learned. PLt Sarmiento along with PCpl Miriam D Santiago rated their overall performance utilizing the CPR Skills Sheet.
Subsequently, PLt Sarmiento afforded the participants to be knowledgeable on Lifting and Spine Injury. He presented a well-defined comparison of emergency move and non-emergency move, the limitations that rescuer need to identify, and the several guidelines for transport. Moreover, there were methods of transfer that was identified to include: a) one-man assist carry and drag by walking; b) pack strap carry; c) clothe drag and fire fighter’s drag; d) two man carry through carrying by extremities; e) hand as a litter and group rescuer by hammock carry; f) bearer’s alongside; g) and blanket carry.
He also accentuated on head and spine injuries, classification of head injuries, and signs of patient with head injury, common mechanisms related to spinal-cord injury, signs and symptoms and management for head and spine. PLt Sarmiento performed the spine board management along with PCpl Santiago, and then requested some participants to follow the same. Important reminders on the actual execution of the spinal immobilization process were distinctly conversed which comprises the adjustment of the cervical collar and performing the manual head stabilization/jaw-thrust-maneuver technique and other precautionary measures to consider.
The last discussion focused on the Basic of Mass Casualty Incident Management and How to Perform Trauma Triage. A short background on the definition of mass casualty and triage, triage tags and their categories, and relevant and typical injuries residing within: red tag (first priority or immediate care), yellow tag (second priority or delayed care), green tag (third priority/minor or minimal care) and black tag (fourth priority or deceased). The goal of multi-casualty triage is “To do the best for the most using the least,” and it was simplified in the acronym START (Simple Triage And Rapid Treatment). He stressed on the three (3) most important areas to assess during triage, specifically, a) Respiration, b) Perfusion and c) Mental Status acronym as (RPM), and the need for excellent practice of the response plan in the crime scene. Thereafter, audio-visual presentations were shown for the participants to see an actual crime scenario of mass casualty incidents.
PLT Sarmiento provided prior instructions of the essential preparations for the overall success of the simulation exercise for the participants to perform on the third day of the training. The second day of the training formally ended at 3:30 P.M.
The third day of the Basic Life Support Training was conducted last March 24, 2021 which was allotted for the Simulation Exercise (SimEx) as an application of the vital concepts on basic life support discussed for the first two days of the training.
Atty. Monday R. Samson, Regional Director, Atty. Leilani P. Vecina, Officer-In-Charge, Office of the Assistant Regional Director, Atty, Arnold Q. Miña, Chairman of the Regional Appellate Board I and Atty. Allan D. Ancheta, Chief of the Technical Services Division, acted as observers during the conduct of the SimEx.
The SimEx was composed of two scenes focusing on triage and treatment process with a bomb-explosion scenario. Ms. Jamila Brianna Leslie R. Ordoño served as the triage leader who performed the tagging with the other rescuers who performed the first aid treatment, namely: Mr. Rodelio B. Rebuldela; Mr. Jerome H. Acosta; Mr. Jerico B. Incillo; and Mr. Epijohn S. Goce. After the tagging, the rescuers performed some methods of transfers through carrying by extremities and hammock carry to the five (5) casualties from the incident area in the person of Ms. Fatima S. Alviarne, Ms. Jenny Grace B. Mercado, Ms. Venus Marie V. Torres, Ms. Cecile Joy C. Ofiana and Ms. Vanessa C. Aquino.
In the treatment area, the rescuers actively performed various treatments to the assigned casualties. Mr. Acosta performed CPR to Ms. Torres with no airway and no consciousness scenario, Mr. Goce and Mr. Incillo provided the bandaging, knotting and tourniquet aid to Ms. Ofiana and Mr. Rebuldela enacted the splinting process to Ms. Mercado who had injury in the right hand and fractured right leg. Meanwhile, Ms. Dae Vinia A. Pimentel and Ms. Carol D. Laoang acted as bystanders and trained first aid providers and performed standard first aid to Ms. Alviarne and Ms. Aquino with wounds and mild burns.
After the SimEx, PLt Jaypee A Sarmiento, Subject Matter Expert from the Regional Health Service 1, shared his overall assessment and recommendations for future improvements. He stated that upon the dynamic execution of the participants in applying the learning and insights acquired from the discussions, it served as a confirmation that the training was undeniably effective and successful. He affirmed that the participants were able to demonstrate the treatment processes clearly and appropriately except for the CPR with no audible counting during the recital of chest compressions. Nevertheless, PLt Sarmiento congratulated the participants for an excellent SimEx and for the active cooperation since the start of the training up to the last day. After sharing the assessment, an audio-visual presentation was presented to the participants highlighting the best parts of the first two days of the training.
To formally wrap up the training, a short closing program ensued. Certificates of appreciation and simple tokens were awarded to PLt Sarmiento and PCpl Miriam D. Santiago by Atty. Samson, Atty. Vecina, Atty. Miña and Atty. Ancheta for enthusiastically embracing the call to educate, share and serve all in one.
Lastly, Atty. Samson rendered his closing message emphasizing the very essence of the training which is to offer an actual grasp of the fundamental knowledge in performing appropriate and excellent first aid and basic life support techniques and treatments that are equally important in light of calamities, crisis and accidents that we encounter nowadays. Atty. Samson was hopeful that the training has served its purpose effectively and a great catalyst in promoting change and innovations in the personal and professional lives of the participants and be of help in contributing and extending aid and support to the community.
The last day of the training formally ended at 3:30 P.M.
Address: NAPOLCOM Regional Office 1, Government Center, SFC By Pass Road, Sevilla, City of San Fernando 2500, La Union
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